AB1750-PARE PATIENT-DOCTOR COMMUNICATION FROM PERSPECTIVE OF STENE PRIZE TOPIC 2023
Authors: J. Grygielska
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> Poland participates in European Edgar Stene Prize Competition from early eighties 20<sup>th</sup> century. Three times our participants won this Prize – last time in 2018. Every competition on national level starts from appropriate translation of topic into Polish and invitation to participate in this using different channels of information to reach as many as possible potential participants. This year topic: "How better communication with my doctor improved my life with an RMD" gave an opportunity for every person living with rheumatic and musculoskeletal disease to present his/her experiences in building good cooperation with his/her physician. Patient-doctor communication was a topic of many educational events for people with RMDs including 2 perspectives: of patient and doctor. It was used Polish version of PART (prepare, ask, repeat, take action) from "Challenging arthritis" by Kate Lorig and James Fries to be more aware and responsible for his/her own health. This important topic didn't find interest among patients with RMDs and national jury received no entry for this year competition. <h3>Objectives</h3> Lack of entry on topic of patient-doctor communication among rheumatic patients was surprised and identifying the causes of this situation can be important in two areas: future Stene Prize competition and personal cooperation with health professionals including physicians. <h3>Methods</h3> Invitation for participation in competition was shared using the same channels how always. There were: websites of associations, social media (facebook and Twitter), e-mailing to leaders of associations, online meeting on occasion of World Arthritis Day, personal contacts with potential authors. Before deadline of submitting entries reminders were sent and put in social media. Reasons of lack of entries were discussed with active members of our associations. <h3>Results</h3> In opinion of people living with RMDs reality is different than model of good practice in communication patient-doctor. Asking potential authors of essays there were responses like: "what I can write – true?", "what communication?", "it will be some day in future but not today". Patients note the lack of time during medical consultation for open discussion. Physician during 15-20 minutes should examine patient, check results of tests, issue a prescription and referral using electronic system what can be added stress for some doctors and takes time devoted for talk with patient for technical issue. If discuss is started it's from initiative of patient mostly, but patient should be aware and active in process of treatment not only passive participant of consultation. Appropriate sources of information and knowledge help patient to take responsibility for his/her own health and life. <h3>Conclusion</h3> Pandemic COVID-19 accelerated involving e-prescriptions and e-referrals in health care system. Pandemic involved remote consultation on place of consultation in-person. This new form of consultation needed concrete and short exchange of information between doctor and patient. Return to consultations in-person didn't change form of consultation to more friendly for patient. Remote consultation stays like an alternative to consultation in-person. <h3>References</h3> [1]Lorig K., Fries J. The Arthritis Helpbook: A Tested Self-Management Program for Coping with Arthritis and Fibromyalgia. Perseus Book 2000 [2]Grygielska J. Pokonać choroby reumatyczne – Współpraca z Twoim lekarzem – wspólne przedsięwzięcie. Złoty Środek 4 (2001), 16-22 [3]J. Grygielska, A. Kłak, J. Owoc, E. Gawińska-Drużba, F. Raciborski. Sources of information and knowledge about rheumatic diseases among people with rheumatic diseases in Poland and in other European countries. Ann Rheum Dis, volume 77, supplement Suppl, year 2018, page A1876 <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.